Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Pharmacy LLC

Organization Community/Retail Pharmacy · NPI 1891193017

Jefferson Pharmacy LLC is a Community/Retail Pharmacy in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2683 Saint Johns Bluff Rd S Ste 127
Jacksonville, FL 32246-3765
Phone: (904) 516-8278
Fax: (904) 513-9293
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PH28757 (FL)

Record details

NPI number1891193017
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Johanson — Owner/Manager · (904) 638-9515
Other names Jefferson Pharmacy, Llc
NPI enumeratedDecember 22, 2014
Last updated in NPPESJanuary 18, 2017
Mailing address2683 Saint Johns Bluff Rd S Ste 127, Jacksonville, FL 32246-3765

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